Provider Demographics
NPI:1619429495
Name:CARUSO-DOERR INC.
Entity Type:Organization
Organization Name:CARUSO-DOERR INC.
Other - Org Name:GIOVANE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:M
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:352-616-0233
Mailing Address - Street 1:5327 COMMERCIAL WAY STE B108
Mailing Address - Street 2:
Mailing Address - City:SPRING HILL
Mailing Address - State:FL
Mailing Address - Zip Code:34606-1499
Mailing Address - Country:US
Mailing Address - Phone:352-616-0233
Mailing Address - Fax:352-616-0236
Practice Address - Street 1:5327 COMMERCIAL WAY STE B108
Practice Address - Street 2:
Practice Address - City:SPRING HILL
Practice Address - State:FL
Practice Address - Zip Code:34606-1499
Practice Address - Country:US
Practice Address - Phone:352-616-0233
Practice Address - Fax:352-616-0236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-10-27
Last Update Date:2016-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOS8846208D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty